Individual
NICOLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10320 HICKORY RIDGE RD APT 824, COLUMBIA, MD 21044-4056
(304) 312-9069
Mailing address
10320 HICKORY RIDGE RD, APT. 824, COLUMBIA, MD 21044-4779
(304) 312-9069
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
270
MD
Other
Enumeration date
10/06/2016
Last updated
02/04/2019
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